以下文章来源于MedTrend医趋势 ，作者更多精彩资讯 MedTrend医趋势 . 关注我们，带你洞见医疗的未来！MedTrend医趋势——专注于医疗医药、生命科学、医院领域，为您 提供及时、实用的热点资讯、市场概况、行业趋势等精彩内容，旨在建设全面、周到、专业的信息分享 与交流平台。 作者 | MedTrend医趋势 来源 | MedTrend医趋势 导语 ：没有任何一个赛道能逃过中国的内卷。 默沙东应该急了。 4月24日，默沙东公布2025 Q1业绩，总体营收小幅下锉，主要原因是两大支柱产品全球药王K药和 HPV疫苗佳达修（Gardasil/Gardasil 9）都未及销售预期。 另外两个数字则惨烈得多——佳达修Q1销售额仅为13.27亿美元，同比大幅下滑41%；其中，默沙 东中国区收入同比下滑62%至6.68亿美元，在默沙东全球的业务份额降至不足5%，跌幅远超公司平 均水平。 | | 2025 | | | 2024 | | | % Change | | --- | --- | --- | --- | --- | --- | --- | --- | | | 10 | 10 | 20 | 3Q | 40 ...

本文约 2 5 0 0 字，推荐阅读时长 1 5 分钟，欢迎关注新财富公众号。 1 引言 4月14日，美国商务部宣布启动对进口药品的国家安全调查。这一调查覆盖了所有进口药品，包括成 品仿制药、原研药以及用于生产这些药品的关键药用成分。此举属于特朗普政府根据1962年《贸易扩 展法》第232条对多个行业进行的关税调查的一部分。虽然调查尚未结束，预计结果将在270天内公 布，但业内普遍认为，这将赋予特朗普政府对进口药品和原料药征收关税的权力。特别是对中国等主 要药品出口国的影响，可能会带来严重的供应链中断及成本上升。 事实上，美国每年从中国进口药品总额约60亿美元，其中大量为抗生素、抗病毒及心血管药物等基础 药物。一旦关税进一步扩大实施，这些进口药品的成本预计将明显上升，对美国本土药品生产商带来 直接冲击。为应对这种风险，特朗普政府提出多项措施推动产业本土化。 分析师预计，如果对来自中国的API征收10%的关税，仿制药企业的利润将下跌2%-3%，创新药利润 下跌可能更严重。 2 美国关税筑墙， 中概股 跌宕 自2025年特朗普重新执政以来，美国政府出台了一系列针对生物医药产业的重要政策，核心目标是强 化美国医药产 ...

Group 1: Market Overview - Many investors are withdrawing from the stock market, but long-term investors recognize the importance of holding through volatility [1] - It remains a favorable time to invest in companies with strong underlying businesses and attractive long-term prospects, particularly dividend payers [1] Group 2: Medtronic - Medtronic is a leader in medical devices and may be affected by tariffs imposed by the current administration, particularly due to its significant revenue from the U.S. and manufacturing in Mexico and China [3][4] - Despite near-term uncertainties, Medtronic is considered a solid long-term investment due to its historical resilience in challenging economic conditions [4] - The company operates in a defensive industry, which helps it maintain steady financial results even during economic downturns [5] - Medtronic has consistent revenue and earnings growth, with significant opportunities in diabetes care and robotic-assisted surgery [7] - The company has a strong dividend track record, having increased payouts for 47 consecutive years, with a forward yield of 3.4% [8] Group 3: Merck - Merck has faced challenges in the past year due to potential competition for its cancer drug Keytruda and an upcoming patent cliff [9] - Despite these challenges, Merck's long-term prospects remain strong, as pharmaceutical companies often recover by developing new and improved medicines [10] - Merck is working on a subcutaneous formulation of Keytruda and has a deep pipeline with several dozen programs in development [10] - The company is expanding into the weight loss market and bispecific antibodies, which could enhance its treatment offerings [11] - Merck has a solid dividend program, having increased payouts by 80% over the past 10 years, with a current forward yield of 3.4% [12]

Financial Data and Key Metrics Changes - The company reported total revenues of $15.5 billion, reflecting a decrease of 2% year-over-year, or an increase of 1% when excluding foreign exchange impacts [23][12] - Earnings per share (EPS) were reported at $2.22, with a gross margin of 82.2%, an increase of one percentage point due to a favorable product mix [35][34] - The company maintained its full-year revenue guidance of between $64.1 billion and $65.6 billion, representing growth of 1% to 3% excluding foreign exchange impacts [35][36] Business Line Data and Key Metrics Changes - In oncology, sales of Keytruda grew 6% to $7.2 billion, driven by increased uptake in earlier-stage cancers and robust demand for metastatic indications [25] - GARDASIL sales decreased by 40% to $1.3 billion, primarily due to reduced demand in China, while global growth excluding China was strong at 16% [27] - The animal health business saw sales increase by 10%, reflecting higher demand across all species and contributions from the Aqua portfolio acquired from Elanco [32] Market Data and Key Metrics Changes - The decline in GARDASIL sales in China was approximately $1.1 billion, which reduced growth excluding foreign exchange by seven percentage points [24] - Outside of the US and China, GARDASIL experienced strong demand, particularly from a catch-up cohort in Japan [27] - The company noted that the ongoing launch of WinRevair generated global sales of $280 million, with significant uptake in both the US and international markets [30] Company Strategy and Development Direction - The company is focused on balancing its manufacturing footprint and has invested $12 billion in US manufacturing since 2018, with an additional commitment of over $9 billion through 2028 [11][10] - The strategic direction emphasizes the advancement of a robust pipeline, with over 20 promising new products expected to launch in the coming years, potentially generating over $50 billion in commercial opportunities by the mid-2030s [16][19] - The company is committed to maintaining its dividend and prioritizing investments in business development to drive growth and returns for shareholders [42][44] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to navigate the current dynamic global environment and emphasized the importance of innovation in addressing health challenges [10][20] - The management team highlighted the ongoing efforts to mitigate potential impacts from tariffs and emphasized a strong inventory position to manage short-term challenges [13][75] - The company remains optimistic about its long-term growth prospects, particularly in light of its expanding late-phase pipeline and the potential for new product launches [18][19] Other Important Information - The company is actively evaluating opportunities for science-driven business development transactions, despite the complexities introduced by the current macroeconomic environment [92][94] - Management acknowledged the disconnect between market realities and seller expectations in the current business development landscape [94] - The company is open to working with the administration on pricing reforms to address the price differentials between the US and international markets [96][100] Q&A Session Summary Question: Can you discuss Merck's mitigating strategies regarding tariffs? - Management highlighted ongoing changes to the supply chain strategy and investments in US manufacturing to mitigate tariff impacts, with a focus on optimizing supply chain operations [70][72] Question: What is the long-term guidance for KEYTRUDA given patent expiry concerns? - Management emphasized confidence in the long-term pipeline, with over 20 new products expected to launch, which could offset concerns related to KEYTRUDA's patent expiry [78][80] Question: Can you comment on the FDA's recent changes and their impact on vaccines? - Management noted that while there are active dialogues with the FDA regarding imminent PDUFA dates, the long-term impact of personnel transitions remains uncertain [85][86] Question: What is the environment for business development given macro volatility? - Management confirmed that the focus on business development remains unchanged, although the current environment presents complexities in executing deals [92][94] Question: What are the prospects for GARDASIL growth and pricing adjustments? - Management indicated that while GARDASIL growth is expected to slow, particularly in China, they remain committed to ensuring the vaccine's value is understood in pricing discussions [132][130]

Core Insights - Merck reported Q1 2025 adjusted EPS of $2.22, exceeding the Zacks Consensus Estimate of $2.15, with a year-over-year earnings increase of 7% on a reported basis and 12% excluding foreign exchange impacts [1][2] - Revenues declined 2% year-over-year to $15.53 billion, but still surpassed the Zacks Consensus Estimate of $15.39 billion [2] Sales Performance - Keytruda, Merck's flagship product, generated sales of $7.21 billion, a 6% increase, but missed the Zacks Consensus Estimate of $7.55 billion due to timing issues in wholesaler purchases [3] - Alliance revenues from Lynparza and Lenvima contributed positively, with Lynparza sales increasing 8% to $312 million and Lenvima revenues totaling $258 million, up 2% [4] - Welireg sales surged 63% to $137 million, driven by higher demand in the U.S. [5] Vaccine Sales - Sales of HPV vaccines Gardasil and Gardasil 9 fell 40% to $1.33 billion, primarily due to lower demand in China [6] - Combined sales of Proquad, M-M-R II, and Varivax vaccines decreased 5% to $539 million, while sales of the pneumococcal 15-valent conjugate vaccine Vaxneuvance rose 7% to $230 million [7][8] Diabetes and Other Products - Sales of the Januvia/Janumet franchise rose 21% year-over-year to $796 million, benefiting from higher net pricing in the U.S. [9] - New PAH drug Winrevair generated $280 million in sales, up from $200 million in the previous quarter [9] Animal Health Segment - The Animal Health segment generated revenues of $1.59 billion, up 5% year-over-year, driven by higher demand for livestock products [11] Cost and Margin Analysis - Adjusted gross margin was 82.2%, up 100 basis points year-over-year, while adjusted selling, general and administrative expenses rose 3% to $2.53 billion [12] - Adjusted R&D spending decreased 9% to $3.61 billion, attributed to lower business development charges [13] 2025 Guidance - Merck maintained its sales guidance for 2025, expecting revenues between $64.1 billion and $65.6 billion, with a revised negative impact from foreign exchange of around 1% [14] - Adjusted EPS guidance was revised to a range of $8.82 to $8.97, accounting for a one-time charge related to a licensing agreement [16] Market Reaction and Future Outlook - Shares of Merck traded higher in pre-market following the earnings report, despite a 21% year-to-date decline compared to a 3% fall in the industry [19] - The company is aware of its reliance on Keytruda and is taking steps to diversify its portfolio, with a late-stage pipeline that has nearly tripled over the past three years [21]

Financial Performance - First-quarter worldwide sales reached $15.5 billion, a 2% decrease compared to the previous year, but increased 1% excluding exchange rate fluctuations[1,19] - Human Health sales were $13.6 billion, a 3% decrease, but increased 5% excluding GARDASIL sales in China[19] - Animal Health sales grew by 10% to $1.6 billion[20,36] - KEYTRUDA sales increased by 6% to $7.2 billion, driven by increased uptake in earlier-stage cancers and metastatic indications[21,22] - Non-GAAP EPS increased by 7% to $2.22[39] Product Performance - GARDASIL sales decreased by 40% to $1.3 billion, due to soft demand in China[27,28] - WINREVAIR global Q1 sales reached $280 million[33] - CAPVAXIVE sales were $107 million, driven by retail pharmacy demand[27] Pipeline and Regulatory Updates - The FDA accepted the BLA for subcutaneous pembrolizumab with berahyaluronidase alfa[10,76] - The FDA accepted the sBLA for KEYTRUDA in earlier-stage HNSCC[10,76] - The European Commission granted conditional approval for WELIREG for certain RCC and other tumors[52,76] - GARDASIL 9 was approved in China for males aged 16-26[49,73] Financial Outlook - The company maintained its revenue guidance of $64.1 billion to $65.6 billion for 2025[40] - Non-GAAP EPS guidance was updated to $8.82 to $8.97, including a ~$0.06 charge related to a license agreement with Hengrui Pharma[40]

Financial Data and Key Metrics Changes - The company reported total revenues of $15.5 billion, reflecting a decrease of 2% year-over-year, or an increase of 1% when excluding foreign exchange impacts [23][12] - Earnings per share (EPS) were reported at $2.22, with a gross margin of 82.2%, an increase of one percentage point due to a favorable product mix [35][34] - The company maintained its full-year revenue guidance of between $64.1 billion and $65.6 billion, representing growth of 1% to 3% excluding foreign exchange impacts [36][35] Business Line Data and Key Metrics Changes - In oncology, sales of Keytruda grew 6% to $7.2 billion, driven by increased uptake in earlier-stage cancers and robust demand for metastatic indications [25] - GARDASIL sales decreased by 40% to $1.3 billion, primarily due to reduced demand in China, while global growth excluding China was strong at 16% [27][24] - The animal health business saw sales increase by 10%, reflecting higher demand across all species and contributions from the Aqua portfolio acquired from Elanco [32] Market Data and Key Metrics Changes - The decline in GARDASIL sales in China was approximately $1.1 billion, which reduced growth excluding foreign exchange by seven percentage points [24] - Outside of the US and China, GARDASIL experienced strong demand, particularly from a catch-up cohort in Japan [27] - The company noted that the ongoing launch of WinRevair generated global sales of $280 million, with significant uptake in both the US and international markets [30] Company Strategy and Development Direction - The company is focused on balancing its manufacturing footprint and has invested $12 billion in US manufacturing since 2018, with an additional commitment of over $9 billion through 2028 [11][10] - The strategic direction emphasizes the advancement of a robust pipeline, with over 20 promising new products expected to launch in the coming years, potentially generating over $50 billion in commercial opportunities by the mid-2030s [16][19] - The company is committed to maintaining its dividend and prioritizing investments in business development to drive growth and returns for shareholders [42][44] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the outlook for improved growth in the second half of the year, despite challenges from tariffs and foreign exchange impacts [12][13] - The company is well-positioned to navigate the potential impacts of tariffs due to its global supply chain and inventory management strategies [13][70] - Management highlighted the importance of scientific leadership and innovation as key drivers for long-term value creation [20][19] Other Important Information - The company has nearly tripled its late-phase pipeline since 2021, with significant advancements in oncology, cardiometabolic diseases, and HIV treatments [16][14] - The FDA has set PDUFA dates for several key products, including subcutaneous pembrolizumab and doravirine-based regimens, indicating a strong pipeline of upcoming approvals [60][56] Q&A Session Summary Question: Can you discuss Merck's strategies to mitigate tariffs? - Management highlighted ongoing efforts to rebalance the supply chain and invest in US manufacturing to mitigate the impact of existing tariffs, with a focus on optimizing supply chain strategies [70][72] Question: What is the long-term guidance for KEYTRUDA? - Management emphasized confidence in the long-term potential of the pipeline, with over 20 new products expected to drive significant revenue growth, but did not provide specific line-by-line guidance [78][79] Question: Can you comment on the FDA's recent changes and their impact on vaccines? - Management noted that while there are active dialogues with the FDA regarding imminent PDUFA dates, the long-term impact of personnel transitions remains uncertain [85][86] Question: What is the environment for business development given current macroeconomic conditions? - Management acknowledged the complexities in the current environment but reaffirmed their commitment to pursuing science-driven business development opportunities [92][94] Question: What are the expectations for GARDASIL growth moving forward? - Management indicated that while GARDASIL growth is expected to slow, strong growth is anticipated outside of China, and they are focused on maximizing opportunities in the market [132][131]

Core Insights - Merck reported revenue of $15.53 billion for Q1 2025, a decrease of 1.6% year-over-year, with an EPS of $2.22, up from $2.07 in the same quarter last year, exceeding both revenue and EPS consensus estimates [1][2] Financial Performance - Revenue of $15.53 billion compared to Zacks Consensus Estimate of $15.39 billion, resulting in a surprise of +0.93% [1] - EPS of $2.22 compared to consensus estimate of $2.15, leading to an EPS surprise of +3.26% [1] Key Metrics - Merck's stock has returned -10.6% over the past month, underperforming the Zacks S&P 500 composite's -5.1% change [3] - Current Zacks Rank for Merck is 3 (Hold), indicating potential performance in line with the broader market [3] Oncology Sales - Keytruda U.S. sales were $4.31 billion, below the average estimate of $4.47 billion, but up 4.6% year-over-year [4] - Keytruda International sales were $2.90 billion, compared to the $3.08 billion estimate, reflecting a 2.4% year-over-year increase [4] - Lynparza U.S. sales reached $145 million, exceeding the $121.96 million estimate, with a year-over-year increase of 7.4% [4] - Lynparza International sales were $168 million, below the $178.66 million estimate, but up 7% year-over-year [4] - Total Keytruda sales amounted to $7.21 billion, compared to the $7.55 billion estimate, marking a 3.7% year-over-year increase [4] Other Product Sales - Zerbaxa sales in Hospital Acute Care were $70 million, surpassing the $63.07 million estimate, with a 25% year-over-year increase [4] - Animal health sales were $1.59 billion, slightly below the $1.61 billion estimate, but up 5.1% year-over-year [4] - Prevymis sales were $208 million, exceeding the $190.69 million estimate, with a significant year-over-year increase of 19.5% [4] - Reblozyl sales reached $119 million, above the $101.77 million estimate, reflecting a substantial year-over-year increase of 67.6% [4]

About this content About Emily Jarvie Emily began her career as a political journalist for Australian Community Media in Hobart, Tasmania. After she relocated to Toronto, Canada, she reported on business, legal, and scientific developments in the emerging psychedelics sector before joining Proactive in 2022. She brings a strong journalism background with her work featured in newspapers, magazines, and digital publications across Australia, Europe, and North America, including The Examiner, The Advocate, The ...

Pharmaceutical giant Merck & Co Inc (NYSE:MRK) has reversed its premarket lead, down 2% at $77.20 at last glance. The company posted better-than-expected first-quarter results but cut its profit outlook, expecting a $200 million dent from tariffs. Creeping back down toward its April 16 three-year low of $75.95, MRK is down 22.7% since the start of the year. So far today, MRK has seen 21,000 calls and 29,000 puts exchanged -- triple the overall options volume typically seen at this point. The May 75 put is t ...